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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012077 <br /> DATE RECEIVED by EHD: November 30,2018 APPL#: PA-1800300 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Thu, December 20, 2018 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 11150 E HWY 120 , MANTECA APN : 22803028 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: �� Public Sewer: A4q _ <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> aS�c� ew Pt/ vi W4 ,/Attie /3 Ur'C— e��le9�i`c e,"l 0/C ,,Wt &� <br /> S. `ic 2 ertLt' Jts�d� L SF �� 3 /CA r. f d w/cr—/ <br /> OYawr 73 D — est /0+-c 44Y4: Ao- t!� <br /> 2-4!07 L <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: ly <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A II h k ff Li : Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> F1 06 06 Report,7201 December 05,2018 <br />